Q10.4 Absence and agenesis of lacrimal apparatus

The ICD-10-CM code for Absence and agenesis of lacrimal apparatus is Q10.4 (FY2026). It is a billable, claim-ready diagnosis code.

Classification

Chapter

17: Congenital malformations, deformations and chromosomal abnormalities (Q00-QA0)

Section

Q10-Q18: Congenital malformations of eye, ear, face and neck (Q10-Q18)

Category Q10

9 codes (8 billable)

FY2026 Status

Stable since FY2024

Also Known As

ICD-10-CM Alphabetic Index entries that lead to Q10.4:

• Absence (of) (organ or part) (complete or partial) › punctum lacrimale (congenital)
• Agenesis › canaliculus lacrimalis
• Agenesis › lacrimal apparatus
• Agenesis › punctum lacrimale
• Absence (of) (organ or part) (complete or partial) › canaliculus lacrimalis, congenital
• Atresia, atretic › lacrimal apparatus

Inclusion Terms

• Congenital absence of punctum lacrimale

U.S. Hospital Utilization

• An estimated 60 U.S. inpatient stays in 2022 included Q10.4 among the documented diagnoses.

Source: National Inpatient Sample (NIS), Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality, 2016–2023. National survey-weighted estimates.

Official Coding Guidelines

POA indicator for congenital conditions/anomalies and Q00-Q99 exception

Congenital conditions and anomalies Assign “Y” for congenital conditions and anomalies except for categories Q00- Q99, Congenital anomalies, which are on the exempt list. Congenital conditions are always considered present on admission.

Source: CMS — ICD-10-CM Official Guidelines for Coding and Reporting, FY2026

References

• CMS — ICD-10-CM Official Code Set and Guidelines, FY2026
• CDC/NCHS — ICD-10-CM Files and Browser Tool
• AHRQ — HCUP National Inpatient Sample, Frequencies by Diagnosis Code (2016–2023)